Individual provider · Type 1 NPI

Tiffany B. Capobianco, NUTRITION CONSULTANT

Physician Assistant · Palm Desert, CA

NPI number 1083040448 Active

Practice location

41990 Cook St Ste F2006
Palm Desert, CA 92211-6100

Call (760) 285-1221 Map

Mailing address

41990 Cook St Ste 2006
Palm Desert, CA 92211-6105

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X68624 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083040448

Tiffany B. Capobianco, NUTRITION CONSULTANT's National Provider Identifier is 1083040448, issued on Sep 17, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Palm Desert, CA. The record was last updated on Aug 21, 2026.